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CITY OF SOUTH BEND <br />MINORITY AND WOMEBUSINESS ENTERPRISE DIVERSITY <br />DEVELN OPMENT PROGRAM <br />FORM MWBE,-2.0 <br />EVIDENCE OF GOOD FAITH EFFORTS <br />This completed form should be included as part of the Bids documents related to City of South Bond Public <br />Works Projects requiring Good Faith Efforts to obtain MBE/WBE participation. It is the bidder's sole <br />responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority <br />or Women's owned business as defined by the Indiana Department of Administration ("IDOA"). <br />Project Number: 117-121 Date: W a 2, )'0 <br />Project Name: <br />Bidder: <br />Contact Person: <br />Address: <br />City: <br />Email: <br />KiTFANT-ri"i NHTMMIT-111112� <br />I <br />Zip: <br />To determine whether a bidder has demonstrated good faith efforts to reach the MBEANBE utilization goals set <br />forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or <br />commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*: <br />EVIDENCE OF GOOD FAITH EFFORTS <br />MBE BE LIST(S,): The bidder reviewed the City of South Bend's Minority and Women Business <br />Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women <br />Owned Business as found on their website (hftp://www,in.gov/idoa). <br />ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South <br />Bend requires that all perspective bidders complete no less than 2 of the following: <br />J) Attend all pre -bid meetings scheduled by the City to inform! MBEAIVBEs of contracting and <br />(71 <br />subcontracting opportunities. <br />2. Advertise in general circulation and/or trade association publications concerning subcontracting <br />opportunities, and allow MBEANBEs reasonable time to respond. <br />3. Perform any and all necessary steps to provide written notice in a manner reasonably calculated <br />to inform MBE/WBEs of subcontracting opportunities and allowed sufficient time for thern to <br />participate effectively. <br />4� � Utilize pre-existing services of available community organizations, small' and/or disadvantaged <br />business assistance offices and other organizations that provided assistance in the recruitment <br />and placement of MBE/WBE firms. <br />"Bidder must circle or otherwise notate which of the two (2) required actions were performed. <br />GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBENVBES, <br />including providing such MBEANBE's with adequate information about the plans, specifications and other <br />requirements of the subcontract and did not reject MBE/WB,Es as unqualified without sound business <br />reasons based on a thorough investigation of their capabilities. <br />J <br />SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by <br />MBEANBEs in order to increase the likelihood of meeting the MBE/WBE goals (including breaking down <br />contracts into smaller units to facilitate MBEANBE participation) <br />CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has <br />CONTRACT <br />'�o <br />bid on the subcontracting opportunity: <br />s rt y , <br />! <br />number; <br />1. Name, address, and telephone number; <br />2 , 'ddescription of information provided by the bidder or subcontractor; and <br />. A statement of whether an agreement was reached, and if not, why not, including any reasons for <br />of e tw s reached, <br />st t m t w t r a g r em e <br />0 e <br />statement <br />was u u aliti 0 to <br />n d h the BE BE a unqualified perform the job. <br />co clu ing t at M �V <br />*P—r6per demonstration of Good Faith Effort requires your initials next to all of the above boxes. Any <br />omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of <br />South Bend reserves the right to request additional information. <br />Version 10/17/2018 Contractor's Bid for Public Works - 12 <br />11 <br />